老年男性全麻手术患者不同导尿时机的临床效果比较

The Clinical Effect of General Anesthesia Operation in Elderly Male Patients with Different Urinary Catheterization Opportunity

目的:探讨老年男性患者行全麻手术进行导尿的最佳时机。方法:150例老年男性全麻手术患者随机分为A、B、C 3组,每组50例,分别在麻醉前、麻醉诱导期、麻醉后10min进行导尿。观察3组入室后麻醉前、导尿时的心率和血压,对比3组患者导尿时、导尿后1d的舒适度和拔除气管导管后30min内躁动的发生情况。结果:3组患者入室后麻醉前的心率及血压的差异均无统计学意义(均P>0.05);导尿时A、B组患者的心率均较入室后麻醉前加快(P<0.01)。A组患者的收缩压及舒张压、B组患者的收缩压较入室后麻醉前升高且高于同期的C组(P<0.01)。C组心率及血压较平稳(P>0.05)。导尿时及导尿后1d时C组患者的舒适度优于A、B组(均P<0.01),且术后躁动的发生率均较A、B组低(P<0.05),发生术后躁动的程度亦较A、B组低(P<0.01或0.05)。结论:老年男性全麻手术老患者选择在麻醉后10min行导尿术,利于术期心率、血压稳定,有效提升导尿舒适度和降低术后躁动的发生率及程度。

Objective：To investigate the best time of catheterization of male patients undergoing general anesthesia op- eration. Methods： 150 cases of elderly male patients with general anesthesia operation were randomly divided into A, B, C three groups, 50 cases in each group, respectively, before anesthesia, anesthesia induction, 10min after anesthesia catheterization. Observation of heart rate and blood pressure of 3 groups before anesthesia, after entering the room dur- ing catheter, agitation occurs within 30 min compared 3 groups of patients with catheterization, urethral catheterization after lday of the comfort and the situation after tracheal extubation. Results： 3 patients from differences in heart rate and blood pressure before anesthesia showed no statistical significance （P^0. 05）~A, B group catheter in patients with heart rate than from anesthesia before speeding up （P^0. 01）. Group A patients with systolic and diastolic blood pres- sure, systolic blood pressure in patients with B group than from before anesthesia increase and higher than group C （P 〈~0. 01）. C group of heart rate and blood pressure is stable （P^0. 05）. Catheterization and catheterization after 1 day comfort in C group is better than A, B group （all P^0. 01）, and the incidence of postoperative agitation rate were lower than A,B group（P^0. 05）, the incidence of postoperative agitation level were lower than A, B group （P〈0. 01 or 0. 05）. Conclusion： Elderly male general anesthesia operation in old patients with 10 min after anesthesia catheterization, heart rate,blood pressure stable to operation period, effectively enhance the catheterization comfort and agitation re- duces the incidence and degree of postoperative.